JIMMY SELANDERS, JR. – NPI #1265821102
Clinic/Center

JIMMY SELANDERS, JR. is an AHC clinic located in GROVE, OK. NPPES has assigned the NPI number 1265821102 to JIMMY SELANDERS, JR. on January 15, 2015. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JIMMY SELANDERS, JR. below.

NPI Profile for
JIMMY SELANDERS, JR.

NPI Number
1265821102
Enumeration Date

(more than 11 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JIMMY SELANDERS, JR.
Primary location
32300 S 625 RD
GROVE, OK 74344-6285
Phone: (918) 786-2930 Fax: (918) 786-5985
Mailing address
PO BOX 451585
GROVE, OK 74345-1585
Phone: (918) 786-2930 Fax: (918) 786-5985
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)
OK 200129910A

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.